Laparoscopic Portfolio Overview 4. Energy Instruments Graspers/Kleppinger 35 Cords 36 Electrodes Accessories 38

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Laparoscopy Catalog

Table of Contents Laparoscopic Portfolio Overview 4 Symmetry VersaGrip Instruments 5-9 Handles 6 Scissors 6 Dissectors 7 Graspers 8-9 RapidClean Modular Instruments 10-20 Scissors 12 Dissectors 13 Graspers 14-16 Replacement 17 Ordering Additional Inserts 18-20 Symmetry Surgical One-Piece Instruments 21-33 Scissors 25 Dissectors 26-27 Graspers 28-33 Energy Instruments 34-38 Graspers/Kleppinger 35 Cords 36 Electrodes 37-38 Accessories 38 Needle Holders & Knot Pushers 39-41 Needle Holders 40 Knot Pushers 41 Accessories 41 Symmetry Surgical Laparoscopic Accessories 42-48 Access Accessories 43-44 Intervention Accessories 46-47 Single-Use Accessories 48 Miscellaneous 48 Customer Support 49 3

Laparoscopic Portfolio Overview We designed our laparoscopic solutions specifically to meet patient and surgeon needs - focusing on high quality, versatile and durable instrumentation to inspire the highest levels of confidence. Our broad portfolio of ergonomically designed, single-piece and modular laparoscopic instruments and accessories are designed to enable minimally invasive surgery in laparoscopic specialties, including colorectal, gynecologic, bariatric, general and urologic surgery. 4

Laparoscopic Portfolio Introducing Symmetry VersaGrip Symmetry VersaGrip is the only custom fit laparoscopic instrument designed to move with you. Symmetry VersaGrip includes a two-piece modular design and compatibility to fit dissectors, scissors and graspers a versatile laparoscopic handle for every laparoscopic surgery. Cautery post Delivers electrosurgical energy to the instrument s distal end for cutting and coagulation One-handed position adjustment button Intraoperative repositioning allows for the surgeon to reset the handle with ease at a moment s notice. Grip Positions: Pistol (70 ), Hybrid (35 ) and In-line (0 ) Flushport Allows for easy and accessible cleaning of the instrument PEEK handle and insulated shaft Fully durable insulated non-conductive handle for safety Large: > 8 glove size Exclusive ergonomic design Helps to prevent fatigue and improve the surgeon s physical experience One-handed advanced rotation 360 controlled precision provides further functionality and easily rotates for optimum jaw position Small: < 7 glove size Medium: 7-8 glove size Color-coded unique handle sizes match your glove size Custom fit increases tactile sensation and avoids highpressure zones distributing actuating force more evenly 5

Symmetry VersaGrip Handles VG-1000-S VG-1000-45-S VG-1000-M VG-1000-45-M SHAFT Diameter: 5mm Handle Symmetry VersaGrip Handle, Small, non-ratcheted Symmetry VersaGrip Handle, Medium, non-ratcheted VG-1000-L VG-1000-45-L Symmetry VersaGrip Handle, Large, non-ratcheted Scissors Insert Only VG-2020Q Small VG-2020-S Medium VG-2020-M Large VG-2020-L SHAFT Diameter: 5mm Hook Scissor TIP VG-2020Q-45 VG-2020-S-45 VG-2020-M-45 VG-2020-L-45 VG-2045Q VG-2045Q-45 VG-2045-S VG-2045-S-45 VG-2045-M VG-2045-M-45 VG-2045-L VG-2045-L-45 Metzenbaum Scissors, Straight VG-2044Q VG-2044Q-45 VG-2044-S VG-2044-S-45 VG-2044-M VG-2044-M-45 VG-2044-L VG-2044-L-45 Mini Metzenbaum Scissors, Curved VG-2006Q VG-2006Q-45 VG-2006-S VG-2006-S-45 VG-2006-M VG-2006-M-45 VG-2006-L VG-2006-L-45 Endo-Metzenbaum Scissors, Curved 6

Symmetry VersaGrip Dissectors Insert Only VG-1030Q VG-1030Q-45 Small VG-1030-S VG-1030-S-45 Medium VG-1030-M VG-1030-M-45 Large VG-1030-L VG-1030-L-45 SHAFT Diameter: 5mm Dolphin (Bottle Nose) Dissector TIP VG-1067Q VG-1067Q-45 VG-1067-S VG-1067-S-45 VG-1067-M VG-1067-M-45 VG-1067-L VG-1067-L-45 Maryland Dissector, Short, Bent Left VG-1064Q VG-1064Q-45 VG-1064-S VG-1064-S-45 VG-1064-M VG-1064-M-45 VG-1064-L VG-1064-L-45 Kelly Dissector, Left Bent VG-1066Q VG-1066-S VG-1066-M VG-1066-L Mixter Dissector VG-1066Q-45 VG-1066-S-45 VG-1066-M-45 VG-1066-L-45 VG-1068Q VG-1068Q-45 VG-1068-S VG-1068-S-45 VG-1068-M VG-1068-M-45 VG-1068-L VG-1068-L-45 Mixter, Angle Combo, Long VG-1060Q VG-1060-S VG-1060-M VG-1060-L Tube Dissector VG-1060Q-45 VG-1060-S-45 VG-1060-M-45 VG-1060-L-45 VG-1164Q VG-1164-S VG-1164-M VG-1164-L Tissue Forceps VG-1164Q-45 VG-1164-S-45 VG-1164-M-45 VG-1164-L-45 7

Symmetry VersaGrip Graspers Insert Only VG-1035Q VG-1035Q-45 Small VG-1035-S VG-1035-S-45 Medium VG-1035-M VG-1035-M-45 Large VG-1035-L VG-1035-L-45 SHAFT Diameter: 5mm Grasping Forcep with Reservoir TIP VG-1092Q VG-1092-S VG-1092-M VG-1092-L Debakey Grasper VG-1092Q-45 VG-1092-S-45 VG-1092-M-45 VG-1092-L-45 VG-1033Q VG-1033Q-45 VG-1033-S VG-1033-S-45 VG-1033-M VG-1033-M-45 VG-1033-L VG-1033-L-45 Grasper With Cross-Serrations VG-1032Q VG-1032-S VG-1032-M VG-1032-L Aggressive Grasper VG-1032Q-45 VG-1032-S-45 VG-1032-M-45 VG-1032-L-45 VG-1022Q VG-1022-S VG-1022-M VG-1022-L Duckbill Grasper VG-1022Q-45 VG-1022-S-45 VG-1022-M-45 VG-1022-L-45 VG-1008Q VG-1008Q-45 VG-1008-S VG-1008-S-45 VG-1008-M VG-1008-M-45 VG-1008-L VG-1008-L-45 Tenaculum Grasper VG-1049Q VG-1049Q-45 VG-1049-S VG-1049-S-45 VG-1049-M VG-1049-M-45 VG-1049-L VG-1049-L-45 Claw Retracting Forceps VG-2070Q VG-2070-S VG-2070-M VG-2070-L Park Grasper VG-2070Q-45 VG-2070-S-45 VG-2070-M-45 VG-2070-L-45 VG-1042Q VG-1042Q-45 VG-1042-S VG-1042-S-45 VG-1042-M VG-1042-M-45 VG-1042-L VG-1042-L-45 Schertl Fenestrated Grasper 8

Symmetry VersaGrip Graspers Insert Only VG-1050Q Small VG-1050-S Medium VG-1050-M Large VG-1050-L SHAFT Diameter: 5mm Fundus Grasper TIP VG-1050Q-45 VG-1050-S-45 VG-1050-M-45 VG-1050-L-45 VG-1016Q VG-1016-S VG-1016-M VG-1016-L Alligator Grasper VG-1016Q-45 VG-1016-S-45 VG-1016-M-45 VG-1016-L-45 VG-1069Q VG-1069-S VG-1069-M VG-1069-L Cobra Grasper VG-1069Q-45 VG-1069-S-45 VG-1069-M-45 VG-1069-L-45 VG-1031Q VG-1031Q-45 VG-1031-S VG-1031-S-45 VG-1031-M VG-1031-M-45 VG-1031-L VG-1031-L-45 Dorsey Fenestrated Grasper VG-1043Q VG-1043Q-45 VG-1043-S VG-1043-S-45 VG-1043-M VG-1043-M-45 VG-1043-L VG-1043-L-45 Single Action Wave Grasper VG-1079Q VG-1079-S VG-1079-M VG-1079-L Babcock Grasper VG-1079Q-45 VG-1079-S-45 VG-1079-M-45 VG-1079-L-45 VG-1041Q VG-1041Q-45 VG-1041-S VG-1041-S-45 VG-1041-M VG-1041-M-45 VG-1041-L VG-1041-L-45 Wave Grasper VG-1087Q VG-1087-S VG-1087-M VG-1087-L Allis Grasper VG-1087Q-45 VG-1087-S-45 VG-1087-M-45 VG-1087-L-45 VG-1093Q VG-1093-S VG-1093-M VG-1093-L Hunter Grasper VG-1093Q-45 VG-1093-S-45 VG-1093-M-45 VG-1093-L-45 VG-1089Q VG-1089Q-45 VG-1089-S VG-1089-S-45 VG-1089-M VG-1089-M-45 VG-1089-L VG-1089-L-45 Teardrop Babcock Grasper 9

Laparoscopic Portfolio Modular Instruments Symmetry Surgical s RapidClean Modular instrument line has more than 50 patterns of graspers, dissectors and scissors. All instruments are reusable and detachable, able to disassemble into three components: Carbon Fiber handle + Insulated shaft with flush port and 360 rotation knob + interchangeable insert/tip. Inserts can be replaced if jaws become dull or damaged. Flush port allows for cleaning without disassembly. Non-indexing 360 rotation Ergonomic handle design provides a comfortable grip. Ratchet on demand included on all graspers. *Optional alternate handles available 10

Features & Benefits RapidClean INTERCHANGEABLE TIPS Cost effective replacement and versatility. More than 50 patterns of jaw inserts. 360 ROTATION KNOB Controlled precision. Easily rotate the shaft for optimum jaw position. FLUSH PORT Allows for optimal cleaning of the instrument. 3-PIECE DETACHABLE Intuitive assembly. Quick and easy disassembly. INSULATED SHAFT Durable and high dielectric strength polymer shaft. Added protection against thermal damage. 45 CAUTERY POST Reduces electrocautery cord interference. 100% monopolar product line. ERGONOMIC DESIGN CARBON FIBER HANDLE To increase comfort during an operation and reduce hand fatigue. Interchangeable based on procedure/function. Non-conductive for safety. 11

Modular Instruments Scissors SHAFT Diameter: 5mm TIP HANDLE 96-2003NL 96-2003NL-45 Metzenbaum, Curved, 96-2006NL 96-2006NL-45 Metzenbaum, Curved, Slimline Scissors, Double Action 96-2045NL Metzenbaum Straight Scissors, Non-locking handle 96-2020NL 96-2020NL-45 Hook Scissors, Single Action 96-2044NL-45 Micro Scissors, Extremely Delicate Tips, Single Action 96-1145NL Metzenbaum, Curved Serrated Scissors, Double Action 96-11137 Micro Scissors, Extremely Delicate Tips, Single Action 96-11117 Metzenbaum, Curved, Serrated Scissors, Flat Dissecting Blades, Double Action 12

Modular Instruments Dissectors SHAFT Diameter: 5mm TIP 96-1022NL Duckbill/Tapered Forceps, Cross Serrated, Serrated, HANDLE 96-1030NL 96-1030NL-45 Bottle Nose (Dolphin) Dissector, Short Jaw, 96-1033NL Bullet Nose Dissector, With Cup, Non-locking handle 96-1066NL 96-1066NL-45 96-1067NL 96-1067NL-45 Mixter Dissector, 90 Angle, Maryland Dissector, Double Action 96-1167NL Maryland Dissector, Diamond Serrations, *RapidClean Instruments also available with Traditional Ratchet Locking Handle and Locking Handle with Ratchet-On-Demand 13

Modular Instruments Graspers SHAFT Diameter: 5mm TIP HANDLE 96-1008R 96-1008R-45 Tenaculum Forceps, Traumatic, 1x1 Sharp Teeth, 96-1015R Claw Grasper With 2x3 Teeth, Traumatic, Single Action 96-1016R 96-1016R-45 Alligator Grasper, Traumatic, Locking Handle with Ratchet on Demand 96-1018R Fenestrated Grasper, Micro Jaw, 96-1020R 96-1020R-45 Strong, Traumatic Grasper, 96-1024R Serrated Grasper, Rounded Jaws, 96-1035R 95-1035R-45 Cup Tooth Grasper, Double Action 96-1042R Fenestrated Grasper, Slightly, Flat Jaws, Atraumatic, 96-1042NL Fenestrated Grasper, Slightly, Flat Jaws, Atraumatic,, Non-locking Handle *RapidClean Instruments also available with Non-Locking Handle and Traditional Ratchet Locking Handle 14

Modular Instruments Graspers SHAFT Diameter: 5mm TIP HANDLE 96-1050R 96-1050R-45 Fundus Grasper, Slightly Flat Jaws, Atraumatic, Double Action 96-1051R 96-1051R-45 Wave Grasper with Atraumatic Serrations, Single Action 96-1053R 96-1053R-45 Wave Grasper with Atraumatic Serration, Locking Handle with Ratchet on Demand 96-1056R Retraction Grasper with Atraumatic Teeth, Single Action 96-1069R 96-1069R-45 96-1070R 96-1070R-45 Snake Tooth (Cobra) Traumatic Grasper, Double Action, 2x2 Teeth Biopsy Spoon Grasper, Single Action 96-1071R Biopsy Spoon, with Spike, 96-1078R Allis Atraumatic Grasper, 3x4 Teeth, 96-1079R Babcock Grasper, Atraumatic, *RapidClean Instruments also available with Non-Locking Handle and Traditional Ratchet Locking Handle 15

Modular Instruments Graspers SHAFT Diameter: 5mm TIP HANDLE 96-1089R 96-1089R-45 Babcock Grasper, Atraumatic, 96-1092R 96-1092R-45 DeBakey Straight Grasper, Atraumatic, 40mm Jaw Length, 96-1093R Hunter Bowel Grasper, Locking Handle with Ratchet on Demand *RapidClean Instruments also available with Non-Locking Handle and Traditional Ratchet Locking Handle 16

Modular Instruments Replacement Components SHAFT DESCRIPTION 96-0526 96-0526-45 96-0126 96-0126-45 96-0002NL Sheath with flush port (Diameter: 5mm) Sheath with flush port (Diameter 10mm) Non-Locking Handle 96-0003R Locking Handle with Ratchet on Demand 96-0004TR Traditional Ratchet Locking Handle 17

Modular Instruments Ordering Additional Inserts Use the codes listed below to order additional inserts for our modular instrument line. Use the full instrument code in the left-hand column as a reference to help find your needed insert code. FULL INSTRUMENT 96-2003NL 96-2003NL-45 FOR INSERT ONLY 96-2003Q 96-2003Q-45 SHAFT DIAM TYPE DESCRIPTION 5mm Scissors Metzenbaum Curved Scissors, 96-2006NL 96-2006NL-45 96-2006Q 96-2006Q-45 5mm Scissors Metzenbaum Curved Slim-Line Scissors, 96-2045NL 96-2045Q 5mm Scissors Metzenbaum Straight Scissors, 96-2020NL 96-2020NL-45 96-2020Q 96-2020Q-45 5mm Scissors Hook Scissors, Single Action 96-2044NL-45 96-2044Q-45 5mm Scissors Micro Scissors, Extremely Delicate Tips, Single-Action 96-1145NL 96-1145Q 5mm Scissors Metzenbaum Curved Serrated Scissors, 96-11137 96-11137Q 5mm Scissors Micro Scissors, Extremely Delicate Tips, Single Action 96-11117 96-11117Q 5mm Scissors Metzenbaum Curved Serrated Scissors, Flat Dissecting Blades, 96-1022NL 96-1022Q 5mm Dissectors Duckbill/Tapered Forceps, Cross Serrated, 96-1030NL 96-1030NL-45 96-1030Q 96-1030Q-45 5mm Dissectors Bottle Nose (Dolphin) Dissector, With Cup, Short Jaw, 96-1033NL 96-1033Q 5mm Dissectors Bullet Nose Dissector, With Cup, 96-1066NL 96-1066NL-45 96-1066Q 96-1066Q-45 5mm Dissectors Mixter Dissector, 90 Angle, 96-1167NL 96-1167Q 10mm Dissectors Maryland Dissector, Diamond Serrations, 96-1067NL 96-1067NL-45 96-1067Q 96-1067Q-45 5mm Dissectors Maryland Dissector, Double Action 18

Modular Instruments Ordering Additional Inserts Use the codes listed below to order additional inserts for our modular instrument line. Use the full instrument code in the left-hand column as a reference to help find your needed insert code. FULL INSTRUMENT FOR INSERT ONLY SHAFT DIAM TYPE DESCRIPTION 96-1008R 96-1008R-45 96-1008Q 96-1008Q-45 5mm Graspers Tenaculum Forceps, Traumatic, 1x1 Sharp Teeth, 96-1015R 96-1015Q 10mm Graspers Claw Grasper With 2x3 Teeth, Traumatic, Single Action 96-1016R 96-1016R-45 96-1016Q 96-1016Q-45 5mm Graspers Alligator Grasper, Traumatic, 96-1018R 96-1018Q 5mm Graspers Fenestrated Grasper, Micro Jaw, 96-1020R 96-1020R-45 96-1020Q 96-1020Q-45 5mm Graspers Strong, Traumatic Grasper, 96-1024R 96-1024Q 5mm Graspers Serrated Grasper, Rounded Jaws, 96-1035R 96-1035R-45 96-1042NL 96-1042R 96-1050R 96-1050R-45 96-1051R 96-1051R-45 96-1053R 96-1053R-45 96-1035Q 96-1035Q-45 5mm Graspers Cup Tooth Grasper, Double Action 96-1042Q 5mm Graspers Fenestrated Grasper, Slightly Flat Jaws, Atraumatic, Double Action 96-1050Q 96-1050Q-45 96-1051Q 96-1051Q-45 96-1053Q 96-1053Q-45 5mm Graspers Fundus Grasper, Slightly Flat Jaws, Atraumatic, Double Action 5mm Graspers Wave Grasper With Atraumatic Serrations, 5mm Graspers Wave Grasper With Atraumatic Serrations, 96-1056R 96-1056Q 5mm Graspers Retraction Grasper With Atraumatic Teeth, Single Action 96-1069R 96-1069R-45 96-1069Q 96-1069Q-45 5mm Graspers Snake Tooth (Cobra) Traumatic Grasper,, 2x2 Teeth 19

Modular Instruments Ordering Additional Inserts Use the codes listed below to order additional inserts for our modular instrument line. Use the full instrument code in the left-hand column as a reference to help find your needed insert code. FULL INSTRUMENT FOR INSERT ONLY SHAFT DIAM TYPE DESCRIPTION 96-1070R 96-1070R-45 96-1070Q 96-1070Q-45 5mm Graspers Biopsy Spoon Grasper, Single Action 96-1071R 96-1071Q 5mm Graspers Biopsy Spoon, With Spike, 96-1078R 96-1078Q 5mm Graspers Allis Atraumatic Grasper, 3x4 Teeth, 96-1079R 96-1079Q 10mm Graspers Babcock Grasper, Atraumatic, 96-1089R 96-1089R-45 96-1092R 96-1092R-45 96-1089Q 96-1089Q-45 96-1092Q 96-1092Q-45 5mm Graspers Babcock Grasper, Atraumatic, 5mm Graspers DeBakey Straight Grasper, Atraumatic, 40mm Jaw Length, 96-1093R 96-1093Q 5mm Graspers Hunter Bowel Grasper, Double Action 20

Laparoscopic Portfolio One-Piece Instruments With multiple handle configuration options and a wide range of tips, our one-piece laparoscopic instrument line continues our focus on quality, variety, durability and confidence to fully meet surgeon s handheld instrument needs. Made by manufacturers in Germany and the USA. 21

Features & Benefits One-Piece Instruments: Slide Lock 95-Series INSULATED SHAFT Durable and high dielectric strength polymer shaft. Added protection against thermal damage. ONE-PIECE REUSABLE Ease of use, no need to assemble. Rigid, stable and solid. Even pressure distribution. ROTATION KNOB OPTION Ergonomic feature to easily rotate the shaft for optimum jaw position. ADDITIONAL FEATURES All instruments are designed with minimal moving parts and are made in the USA. SLIDE LOCK MECHANISM Precise and ergonomic ratcheting mechanism. Secure grasping and retraction. Locking instruments are available with the SLIDE LOCK locking feature. This unique locking device provides dual action for the surgeon s grasping needs in terms of durability, comfort and strength STAINLESS STEEL HANDLE Made with surgical grade stainless steel for maximum precision durability. FLUSH PORT Allows for optimal cleaning of the instrument. 22

Features & Benefits One-Piece Instruments: Direct Drive 95-Series FLUSH PORT Allows for optimal cleaning of the instrument. ONE-PIECE REUSABLE Ease of use, no need to assemble. Rigid, stable and solid. Even pressure distribution. SPECIAL NON-STICK COATING Special coating on the jaws provides non-stick properties and facilitates wiping and cleaning. Additionally, it provides non-reflective properties and increased mechanical wear properties ADDITIONAL FEATURES All instruments are designed with minimal moving parts and are made with surgical grade stainless steel for maximum durability. Made in the USA. RATCHET ON DEMAND LOCKING SYSTEM Locking instruments are available with the RATCHET ON DEMAND locking feature. This unique locking device provides dual action for the surgeon s dissection and grasping needs. Handle Variety: Slide Lock, Ratchet on Demand, Nonlocking insulated, Non-locking Non-cautery options available. ROTATION KNOB OPTION 12 stop location at 360 rotation option PATENTED DIRECT DRIVE SYSTEM All instruments include the patented HINGELESS direct drive system. This system is dependable and has no small hinges or links. Tests validated it to be stronger in grasping and dissection mode than conventional hinged systems. 23

Features & Benefits One-Piece Instruments: Accu 97-Series ONE-PIECE REUSABLE Ease of use, no need to assemble. Rigid, stable and solid. Even pressure distribution. INSULATED SHAFT Durable and high dielectric strength polymer shaft. Added protection against thermal damage. ONE-HANDED ACCURATE ROTATION Controlled precision. Easily rotate the shaft for optimum jaw position. Add ratchet lock for graspers. 90 CAUTERY POST Insulated and cautery post handles for dissectors and scissors and non-insulated handles for graspers. FLUSH PORT Allows for optimal cleaning of the instrument. 24

One-Piece Instruments Scissors SHAFT Diameter: 5mm TIP 95-2020-45 Hook Straight Scissors, Direct Drive, Single Action HANDLE Non-locking handle w/ Rotation 97-2020RC 97-2020RCL UltraCut Hook Scissors, Single Action, Insulated, Monopolar Non-locking handle w/ Rotation 95-2006 95-2006-45 Metzenbaum UltraCut Curved Scissors, Direct Drive,, Insulated Non-locking handle w/ Rotation 97-2006RC 97-2006RCL UltraCut Metzenbaum Endo Scissors, 13mm Jaw,, Insulated, Monopolar Non-locking handle w/ Rotation 25

One-Piece Instruments Dissectors SHAFT Diameter: 5mm TIP 90-1030 36cm Bottle Nose/Dolphin Nose Dissector, 16 mm Jaw,, Insulated, Monopolar 90-1030RC 90-1030RCL 90-1035R 90-1035RL 36cm 32cm Bottle Nose/ Dolphin Nose Dissector,, Insulated, Monopolar Cup Tooth Dissector, 12 mm Jaw,, Insulated Shaft 90-1055 32cm Cup Tooth Dissector, 12 mm Jaw,, Insulated Shaft 90-1035 90-1035L 97-1030RC 97-1030RCL 35cm 36cm Cup Tooth Dissector, 12mm Jaw,, Insulated, Monopolar Bottle Nose/Dolphin Nose Dissector,, Insulated, Monopolar 97-1035RC 32cm Cup Tooth Dissector,, Insulated, Monopolar 95-1067 95-1067-45 Maryland Dissector Curved, Direct Drive, HANDLE Non-locking handle Non-locking handle w/ Rotation Ratchet handle Ratchet handle Non-locking handle Non-locking handle w/ Rotation Non-locking handle w/ Rotation Non-locking handle w/ Rotation 26

One-Piece Instruments Dissectors SHAFT Diameter: 5mm TIP 90-1067 34cm Maryland Dissector, 23mm Jaw,, Insulated, Monopolar 97-1067RC 97-1067RCL Maryland Dissector,, Insulated, Monopolar 97-1063RC 35cm Maryland Tapered Dissector,, Insulated, Monopolar 90-1044 32cm Micro Fenestrated Dissector, 13mm Jaw,, Insulated, Monopolar 98-1143 36cm Mixter Dissector, Right Angle, 19mm Jaw,, Insulated Monopolar HANDLE Non-locking handle Non-locking handle w/ Rotation Non-locking handle w/ Rotation Monopolar, Non-Locking handle Non-locking handle w/ Rotation SHAFT Diameter: 10mm TIP 90-1068 32cm Mixter Dissector, 90 Right Angle,, Insulated, Monopolar HANDLE Non-locking handle 27

One-Piece Instruments Graspers SHAFT Diameter: 5mm TIP 95-1052L Alligator Grasper, Traumatic, Direct Drive,, Insulated, Monopolar 94-1078L-45 Allis Grasper, Atraumatic, Direct Drive,, Insulated, Monopolar 95-1078L Allis Grasper, Atraumatic, Direct Drive,, Insulated, Monopolar 98-1115 37cm Long Allis Grasper, Atraumatic, 28mm Jaw,, Insulated, Monopolar 98-1188 98-1188L 36cm Atraumatic Grasper, 22mm Jaw, 95-1049SL-DA 35cm Atraumatic Retraction Grasper, 22mm Jaw, Double Action 95-1049SL-DA- ROT 35cm Atraumatic Retraction Grasper, 22mm Jaw, Double Action 95-1049SL-DA-45 Atraumatic Retraction Grasper, 22mm Jaw, Double Action, Insulated Shaft HANDLE Locking Ratchet on Demand w/rotation Locking Ratchet on Demand w/rotation Locking Ratchet on Demand w/rotation Non-locking handle w/rotation Ratchet handle w/rotation Slide Locking Slide Locking w/rotation Slide Locking 28

One-Piece Instruments Graspers 95-1049SL-DA- ROT-45 SHAFT Diameter: 5mm TIP Atraumatic Retraction Grasper, 22mm Jaw, Double Action, Insulated Shaft 95-1048SL-ROT-45 Atraumatic Retraction Grasper, 22mm Jaw, Single Action 95-1049SL 95-1049SL-45 Atraumatic Retraction Grasper, 22mm Jaw, Single Action 95-1049SL-ROT 35cm Atraumatic Retraction Grasper, 22mm Jaw, Single Action 95-1049SL-ROT-45 Atraumatic Retraction Grasper, 22mm Jaw, Single Action, Insulated Shaft 95-1053L Atraumatic Wave Grasper, Direct Drive,, Insulated, Monopolar 95-1048SL-DA- ROT Traumatic Retraction Grasper, Serrated, 22mm Jaw, 95-1048SL-ROT 35cm Traumatic Retraction Grasper, Serrated, 22mm Jaw, Single Action 95-1048SL-45 Traumatic Retraction Grasper, Serrated, 22mm Jaw, Single Action, Insulated Shaft HANDLE Slide Locking w/rotation Slide Locking w/rotation Slide Locking Slide Locking w/rotation Slide Locking w/rotation Locking Ratchet on Demand w/rotation Slide Locking w/rotation Slide Locking w/rotation Slide Locking 29

One-Piece Instruments Graspers SHAFT Diameter: 5mm 97-1056RC 37cm Traumatic Retraction Grasper, Single Action TIP HANDLE 95-1089L 95-1089L-45 Babcock Grasper, Atraumatic, Direct Drive,, Insulated, Monopolar 90-1005 32cm Claw Extractor Grasper, Traumatic, Heavy 2x3 Teeth, Single Action 95-1069L 95-1069L-45 95-1092L 95-1092L-45 97-1031RC 97-1031RCL 32cm 46cm Cobra Tooth Grasper, Traumatic, Direct Drive, DeBakey Straight Grasper, 40mm Jaw, Direct Drive,, Insulated, Monopolar Dorsey Grasper, Fenestrated, 30mm Jaw,, Insulated Shaft 95-1031SL 34.5cm Dorsey Grasper, Fenestrated, 30mm Jaw, Single Action, Insulated Shaft 95-1042L Fenestrated Grasper, Direct Drive, Ratchet Handle w/rotation Locking Ratchet on Demand w/rotation Spring Handle Locking Ratchet on Demand w/rotation Locking Ratchet on Demand w/rotation Ratchet Handle w/rotation Slide Locking Locking Ratchet on Demand w/rotation 30

One-Piece Instruments Graspers SHAFT Diameter: 5mm TIP 90-1050 32cm Fundus Trimax Grasper, 16mm Jaw,, Insulated Shaft 95-1050SL-DA- ROT 98-1125 98-1125L 33.4cm 38cm Fundus Trimax Grasper, 16mm Jaw,, Insulated Shaft Glassman Grasper, 40mm Jaw, 95-1093L Hunter Bowel Grasper, 20mm Jaw, Direct Drive,, Insulated, Monopolar 97-1090RC 97-1090RCL 37cm Hunter Bowel Grasper, 20mm Jaw,, Insulated Shaft 98-1257 36cm Spoon Grasper 13mm Jaw, 90-1008 90-1008L 32cm Tenaculum Forceps, Traumatic, 1x1 Sharp Teeth,, Insulated Shaft 97-1008RC Tenaculum Grasper, Traumatic, HANDLE Ratchet Handle Slide Locking w/ Rotation Ratchet Handle w/rotation Locking Ratchet on Demand w/ Rotation Non-locking handle w/ Rotation Standard Handle Ratchet Handle Ratchet Handle 31

One-Piece Instruments Graspers 90-1015 90-1015L SHAFT Diameter: 10mm TIP Claw Extractor Grapser, Traumatic, Heavy 2x3 Teeth, 29mm Jaw, Single Action 98-1270 35.1cm Claw Grasper, 29mm Jaw, Single Action HANDLE Spring Handle Ratchet Handle w/rotation 90-1083 34.5cm Duval Grasper, Double Action 98-1274 35cm Spoon Grasper, 25mm Jaw, Single Action 98-1277L Spoon Grasper, 25mm Jaw, Single Action Ratchet Handle Auto-Closure Handle w/rotation Standard Handle w/rotation 90-1070 32cm Spoon Grasper, Stone Retrieval Forceps, 25mm Jaw, Single Action 95-1070 Spoon Grasper, Stone Retrieval Forceps, Direct Drive, 90-1007 32cm Tenaculum Forceps, Traumatic, 1x1 Sharp Teeth, Spring Handle Non-locking handle w/rotation Ratchet Handle 32

One-Piece Instruments Graspers SHAFT Diameter: 10mm TIP 90-1009-H 32cm Tenaculum Forceps, Traumatic, 1x1 Sharp Teeth,, Insulated Shaft 90-1009-HX 90-1009L 32cm Tenaculum Forceps, Traumatic, 1x1 Sharp Teeth,, Insulated Shaft HANDLE Ratchet Handle Spring Handle 33

Laparoscopic Portfolio Energy Instruments Symmetry Surgical s Laparoscopic Energy offerings include monopolar and bipolar electrosurgery devices, reusable and single-use monopolar electrodes, bipolar forceps and accessories. 34

Energy Instruments Graspers LENGTH DESCRIPTION 90-1011 Symmetry Ultra Kleppinger Type Bipolar Forceps, Ring Handle 90-1012 Symmetry Ultra Kleppinger Type Bipolar Forceps, Ring Handle 90-1013 Symmetry Ultra Kleppinger Type Bipolar Forceps, Thumb Ring Handle 90-1014 Symmetry Ultra Kleppinger Type Bipolar Forceps, Thumb Ring Handle 90-1016 32cm Insert, Kleppinger Type Waffle Tong 90-1017 Insert, Kleppinger Type Waffle Tong Grasper 90-1018 32cm Insert, Kleppinger Type Paddle Tong 90-1019 Insert, Kleppinger Type Paddle Tong LENGTH Diameter: 4.5mm TIP BC3310 34cm Mectra Labs Single Use Kleppinger-Style Bipolar Serrated Forceps w/ Cable BC3320 Mectra Labs Single Use Kleppinger-Style Bipolar Serrated Forceps w/ Cable HANDLE 35

Energy Instruments Cords LENGTH DESCRIPTION 90-1020 10ft Bipolar Cable for SSI/Wolf Kleppinger Type Forceps & Wolf Generator, Reusable 90-1021 10ft Bipolar Cable for SSI/Wolf Kleppinger Type Forceps & Birtcher, Cabot & Valley Lab Type Generators, Reusable 90018 10ft Olsen Monopolar Cord, Generator to Standard Olsen Instrument, Reusable 90020 10ft Olsen Monopolar Cord, Valleylab Generator to Standard 8-32 UNC Olsen Instrument, Reusable 90056 10ft Olsen Monopolar Cord, Valleylab Style Generator Plug to 4mm Laparoscopic Instrument, Reusable 40-2106 10ft Olsen Monopolar Cord, Bovie Plug to 4mm Socket Angled 90 (Valleylab Style), Single Use, 10/Box 40-2110 10ft Olsen Monopolar Cord, Bovie Plug to Straight 4.0mm Socket (Valleylab Style), Single Use, 10/Box 50-2107 10ft Olsen Monopolar Cord, Endoscopic Instrument, 90 Plug, Reusable 50-2111 10ft Olsen Monopolar Cord, Endoscopic Instrument, Straight Plug, Reusable 36

Energy Instruments Electrodes LENGTH DESCRIPTION 90-9522 90-9522L 90-9523 90-9523L 90-9525 90-9525L 90-9526 90-9526L 90-9527 90-9527L 32cm 32cm 32cm 32cm L-Hook Electrode, Monopolar, Reusable Spatula Electrode, Monopolar, Reusable J-Hook Electrode, Monopolar, Reusable Needle Electrode, Monopolar, Reusable Button Tip Electrode, Monopolar, Reusable 90-9522-H 32cm L-Hook Electrode with Taper 90-4005 32cm J-Hook Suction/Irrigation Electrode, with Valve, Insulated, Monopolar, Reusable 90-4010 90-4010L 90-4012 90-4012L 32cm 32cm Button Tip Suction/Irrigation Electrode, with Valve, Insulated, Monopolar, Reusable L-Hook Suction/Irrigation Electrode, with Valve, Insulated, Monopolar, Reusable 37

Energy Instruments Electrodes LENGTH DESCRIPTION 90-4015 90-4015L 32cm Spatula Suction/Irrigation Electrode, with Valve, Insulated, Monopolar, Reusable 90-9522-S L-Hook Electrode, Monopolar, Single-Use (10/box) 90-9523-S Spatula Electrode, Monopolar, Single-Use (10/box) 90-9525-S J-Hook Electrode, Monopolar, Single-Use (10/box) Accessories DESCRIPTION IMAGE 90-1011SC Sealing Cap for Kleppinger 38

Laparoscopic Portfolio Needle Holders & Knot Pushers Symmetry Surgical s stainless steel and tungsten carbide needle holders and knot pushers provide durability, comfort and dexterity for suturing and knot tying. 39

Needle Holders & Knot Pushers Needle Holders LENGTH Diameter:5mm TIP 68-1564 Tungsten Carbide Symmetry Needle Holder, 30 Angle 90-2008 35cm Tungsten Carbide Needle Holder, Right Curved HANDLE In-line Handle 90-2010 90-2010L 90-2011 90-2011L 35cm 35cm Tungsten Carbide Needle Holder, Straight Tungsten Carbide Needle Holder, Left Curved 90-3035 32cm Tungsten Carbide Ergonomic Needle In-line Handle In-line Handle In-line Handle 90-3038 90-3038L 32cm Tungsten Carbide Needle Holder, Curved 90-3039 32cm Tungsten Carbide Needle Holder, Straight Squeeze Handle with Ratchet Squeeze Handle with Ratchet 40

Needle Holders & Knot Pushers Knot Pushers LENGTH DESCRIPTION 90-5097 32cm Knot Pusher, Close 90-5099 90-5099L 29.85cm Knot Pusher, Open Accessories LENGTH Diameter: 5mm 91-0630 15cm Roeder Loop Applicator DESCRIPTION 41

Laparoscopic Portfolio Accessories Symmetry Surgical s laparoscopic line offers both reusable and single use devices for Access, Intervention and Closure. 42

Accessories Access Accessories LENGTH DESCRIPTION 52420-01 89 x 178 x 114 mm Nathanson Style Liver Retractor, Small Size, 6.5mm diameter 52420-02 114 x 216 x 203mm Nathanson Style Liver Retractor, Medium Size, 6.5mm diameter 52420-03 165 x 279 x 254mm Nathanson Style Liver Retractor, Large Size, 6.5mm diameter 52420-00 Nathanson Style Liver Retractor Kit, Includes One Small, One Medium, One Large 90-6005 18cm Hasson Retractor S 90-9800 Fan Retractor, Curved, 5mm diameter 68-1590 Symmetry Fan Liver Retractor, 5mm diameter 90-5054 10cm Veress Needle with Luer Lock, Reusable, 2mm diameter 90-5055 12.7cm Veress Needle with Luer Lock, Reusable, 2mm diameter 43

Accessories Access Accessories SHAFT Diameter: 5mm DESCRIPTION 90-5057 18cm Veress Needles with Luer Lock, Reusable, 2mm diameter 90-5058 8cm Veress Needle with Luer Lock, Reusable, 2mm diameter 90-5059 20cm Veress Needle with Luer Lock, Reusable, 2mm diameter CD7212 Symmetry CO2 Insufflation Needle, Single- Use, 14 Gauge, (10/box) 44

Accessories Access Accessories QTY DESCRIPTION 50-5730 Bookwalter Laparoscopic Support System *includes the following: 50-4688 1 Bookwalter 12 light-weight table post 50-4554 1 Bookwalter Table Post Coupling 50-4805 1 Bookwalter Universal Flex Arm 50-4806 1 Bookwalter Flex Arm Ring Adapter 50-4807 1 Bookwalter Flex Arm Laparoscopic Instrument Adapter 50-4808 1 Bookwalter Flex Arm Camera Lens Adapter 50-4809 1 Bookwalter Flex Arm Camera Housing Adapter 68-1593 1 Fan Retractor, 5 mm, Articulating, Three Fingers 68-1594 1 Fan Retractor, 10 mm, Articulating, Five Fingers 45

Accessories Intervention Accessories LENGTH DESCRIPTION 90-5048 32cm Ultra Puncture Needle with Aspiration, Reusable, 10 Gauge 90-5049 32cm Ultra Puncture Needle with Aspiration, Reusable, 12 Gauge 90-5050 90-5050L 90-5051 90-5051L 90-5052 90-5052L 90-5070 90-5070L 90-5053 90-5053L 90-5600 90-5605 32cm 32cm 32cm 32cm 32cm 32cm Ultra Puncture Needle with Aspiration, Reusable, 19 Gauge Ultra Puncture Needle with Aspiration, Reusable, 15 Gauge Ultra Puncture Needle with Aspiration, Reusable, 22 Gauge Symmetry Cannula, Irrigating/Aspirating Dual Valve Ultra Palpation Probe Myoma Screw 90-1076 32cm Cholangiogram Guide Curved 46

Accessories Intervention Accessories LENGTH DESCRIPTION 91-5035 39cm Cholangiogram Clamp, 5mm diameter SGH5 Secto Handle, Laparoscopic, Long, 5mm diameter SGH10 Secto Handle, Laparoscopic, Long, 10mm diameter 47

Accessories Single-Use Accessories PS500 DESCRIPTION JosNoe Medical Scope Warmer, Single-Use, 10/box SG5 Secto Dissector, Gauze, 5 mm diameter, 2.5 cm working length, single-use tip, 10/box *For use with SGH5 handle SG10 TDSG5 Secto Dissector, Gauze, 10 mm diameter, 3.4 cm working length, single-use tip, 10/box *For use with SGH10 handle Secto 5mm One-Piece Single-Use Gauze Dissector, Length 35cm, 10/box TDSG10 Secto 10mm One-Piece Single-Use Gauze Dissector, Length 35cm, 10/box DC5000 Fog Reduction Device, Sponge + Anti-Fog, 20/box Miscellaneous DESCRIPTION 90-0000 Caps, Choli Flush Port, (10/pk) 48

Customer Support Our highly trained customer support team is available to take your calls from 7:00 am to 5:30 pm (CST), Monday - Friday. This group is dedicated to providing a full range of support services, including: Order Placement Order Inquiries Delivery Information Product Information Pricing Inquiries If we can be of assistance, please contact us using the methods below: PHONE US & Canada: +1 800-251-3000 International: +1 615-883-9090 EMAIL customerservice@symmetrysurgical.com internationalorders@symmetrysurgical.com WEB symmetrysurgical.com -Live Chat on symmetrysurgical.com: Click the Can We Help You window in the bottom corner of any page on symmetrysurgical.com to be connected directly to a member of our sales or customer service team. We can chat in real time and answer your questions about our company and surgical instrument portfolio. (Available Monday through Friday, 7:30 am - 5:30 pm CST) MAILING ADDRESS Symmetry Surgical Attn: Customer Service 3034 Owen Drive Antioch, TN 37013 49

Notes 50

3034 Owen Drive Antioch, TN 37013 800.251.3000 (US) +41 (0) 52 557 59 00 customerservice@symmetrysurgical.com symmetrysurgical.com 2018 Symmetry Surgical Inc. All rights reserved.